Men Over 40 Panel
Age-appropriate screening including testosterone and PSA.
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A panel designed with men over 40 in mind, combining testosterone, thyroid, cardiovascular, metabolic, and prostate markers in a single blood draw. As the body changes with age, tracking these markers together may provide useful context.
Why this test?
After 40, several physiological shifts tend to occur gradually. Testosterone levels may decline, metabolic efficiency can change, and cardiovascular and prostate markers become increasingly relevant. Rather than testing each system separately, this panel brings them together so that the results can be viewed in context. A shift in one area (such as testosterone) may be connected to changes in another (such as lipids or blood sugar), and seeing them side by side may make these patterns more visible.
Who is this test for?
This panel may be relevant for:
- Men over 40 who want a broad health overview tailored to age-related markers
- Those experiencing changes in energy, body composition, or mood and wanting data to explore possible factors
- Men who want to include PSA monitoring alongside hormonal and metabolic markers
- Anyone looking to establish a reference point for tracking health trends over the coming years
What is tested?
- Total Testosterone (nmol/l, male ref: 8.64-29) and Free Testosterone (pmol/L, male ref: 170-700): circulating and bioavailable testosterone.
- SHBG (nmol/l, male ref: 18.3-54.1): binding protein that influences testosterone bioavailability.
- TSH (mu/l, ref: 0.27-4.2) and Free T4 (pmol/l, ref: 12-22): thyroid function markers.
- Total Cholesterol (mmol/l), HDL Cholesterol (mmol/l), LDL Cholesterol (mmol/l), and Triglycerides (mmol/l): lipid profile for cardiovascular context.
- HbA1c (mmol/mol): average blood sugar control over the past 2 to 3 months.
- hs-CRP (mg/l): a marker that may reflect low-grade inflammation.
- PSA (ug/l): Prostate-Specific Antigen, commonly monitored in men over 40.
- ALT (u/l): a liver enzyme.
- Creatinine (umol/l): a marker of kidney function.
- Vitamin D 25-OH (nmol/l): vitamin D status.
What can this test tell you?
By covering multiple systems in one draw, this panel may reveal connections that separate tests could miss. Declining testosterone alongside rising SHBG is a common pattern in men over 40 and can influence energy, body composition, and mood. Metabolic markers like HbA1c and lipid values may shift with age, and tracking them can provide early signals of change. PSA adds prostate context, while thyroid markers, vitamin D, and hs-CRP round out the picture. The value lies in seeing how these markers relate to each other, which can help inform conversations with a healthcare provider.
How is the sample collected?
A blood sample is drawn at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. After placing your order, you can select a location and time that suits your schedule. The appointment typically takes around 10 to 15 minutes.
When is this test useful?
This panel may be useful when:
- You are over 40 and want a health check that covers age-relevant markers
- You are noticing changes in energy, recovery, or body composition and want to investigate
- You want a baseline that includes PSA alongside hormonal and metabolic data
- You are planning to make lifestyle changes and want a starting point for comparison
What do the results mean?
Results are presented with reference ranges for each marker. Keep in mind that "normal" ranges are population-based and may not reflect what is optimal for you individually. Testosterone, for example, has a wide reference range, and a value at the lower end may still be associated with symptoms in some men. PSA interpretation is nuanced and should account for factors like age and prostate size. A healthcare provider can help review the results as a whole and determine whether any findings warrant further discussion or follow-up.
Preparation
Fasting for 8 to 12 hours is required for accurate lipid and blood sugar readings. Testing in the morning is recommended, as testosterone levels tend to be highest early in the day. For an accurate PSA reading, avoid ejaculation and intense cycling for 48 hours before the test. Water is fine during the fasting period.
What happens after the results?
Results are typically available within a few business days. Your report includes all values alongside reference ranges. Given the breadth of this panel, reviewing the results with a healthcare provider can help contextualize them within your personal health history and goals. Tracking these values over time may provide additional insight into how your health is trending.
From order to report in 4 steps
No referral needed. No waiting list. Just order and go.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician assesses your results and writes a personal report. On your dashboard within a few business days.
Choose your blood test
Pick a testosterone check, hormone panel, or prostate screening. Or build a custom test with exactly the markers you want.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician assesses your results and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 650+ certified phlebotomy points across the Netherlands.
What We Test
This panel includes 15 biomarkers, each tested at a certified laboratory using medical-grade equipment.
HbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
Learn morePSA (Prostate-Specific Antigen) is a protein produced by prostate gland cells. PSA is naturally present in men at low levels, and many factors — including benign prostate enlargement (BPH), prostatitis, vigorous exercise, and sexual activity — can raise PSA levels without any malignant cause. Results must always be interpreted by a qualified healthcare provider.
Learn moreALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
Learn moreThyroid-stimulating hormone (TSH) is produced by the pituitary gland and serves as the master regulator of thyroid function. TSH levels may help indicate whether the thyroid is producing appropriate amounts of hormones. Your healthcare provider can interpret your TSH results.
Learn moreTriglycerides are the most common type of fat in the body, used for energy storage. Elevated levels may be associated with increased risk of cardiovascular disease, especially when combined with other lipid abnormalities.
Learn moreCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Learn moreFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Learn moreLDL (Low-Density Lipoprotein) cholesterol is often called "bad" cholesterol because elevated levels can lead to plaque build-up in artery walls, increasing the risk of heart attack and stroke.
Learn moreSex hormone-binding globulin (SHBG) is a protein produced by the liver that binds to sex hormones, including testosterone and estrogen. It helps regulate the amount of free, active hormones available in the body.
Learn moreTotal cholesterol measures the combined amount of HDL, LDL, and VLDL cholesterol in your blood. It provides an overview of your lipid status but should be interpreted alongside individual components for a complete cardiovascular risk picture.
Learn moreVitamin D is a fat-soluble vitamin that plays a key role in calcium absorption, bone health, and immune function. It is primarily produced in the skin through sunlight exposure and can also be obtained from certain foods and supplements.
Learn moreFree testosterone is the unbound, bioavailable form of testosterone that can directly enter cells and activate receptors. It may indicate your body's functional androgen activity. Your healthcare provider can help interpret what your levels mean.
Learn moreTotal testosterone measures the combined amount of bound and free testosterone in the blood. As the primary androgen, testosterone may influence muscle mass, bone density, libido, mood, and energy levels in both men and women.
Learn moreHigh-Sensitivity CRP (hs-CRP) measures very low levels of C-Reactive Protein in the blood. It is primarily used to assess cardiovascular risk by detecting low-grade chronic inflammation.
Learn moreHDL (High-Density Lipoprotein) cholesterol is often called "good" cholesterol because it helps transport excess cholesterol from the arteries back to the liver for removal. Higher HDL levels are generally associated with lower cardiovascular risk.
Learn moreHbA1c (Glycated Hemoglobin)
MetabolicHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
HbA1c provides a long-term view of blood sugar control, unlike fasting glucose which reflects a single point in time. It is essential for diabetes diagnosis and management. Consult your healthcare provider.
PSA (Prostate-Specific Antigen)
Tumor MarkersPSA (Prostate-Specific Antigen) is a protein produced by prostate gland cells. PSA is naturally present in men at low levels, and many factors — including benign prostate enlargement (BPH), prostatitis, vigorous exercise, and sexual activity — can raise PSA levels without any malignant cause. Results must always be interpreted by a qualified healthcare provider.
PSA monitoring is widely used for prostate health assessment. Tracking PSA velocity (rate of change) over time provides important information. Because PSA rises with age and is influenced by many benign factors, a single result is rarely definitive. Always consult a healthcare provider for interpretation.
ALT (Alanine Aminotransferase)
LiverALT (alanine aminotransferase) is a liver enzyme that serves as a key indicator of liver health. Elevated levels may suggest liver cell damage and can be associated with various liver conditions.
ALT levels provide important insight into liver function. Elevated levels may indicate conditions such as hepatitis, fatty liver disease, or medication-related liver damage. Early detection of elevated ALT can help identify liver problems before symptoms develop, allowing for timely intervention and lifestyle modifications.
TSH (Thyroid Stimulating Hormone)
ThyroidThyroid-stimulating hormone (TSH) is produced by the pituitary gland and serves as the master regulator of thyroid function. TSH levels may help indicate whether the thyroid is producing appropriate amounts of hormones. Your healthcare provider can interpret your TSH results.
TSH is widely considered the most sensitive initial screening test for thyroid disorders. Even subtle changes in thyroid function may be reflected in TSH levels before other thyroid markers become abnormal. Your healthcare provider may use TSH as a starting point for comprehensive thyroid evaluation.
Triglycerides
CardiovascularTriglycerides are the most common type of fat in the body, used for energy storage. Elevated levels may be associated with increased risk of cardiovascular disease, especially when combined with other lipid abnormalities.
Elevated triglycerides may contribute to atherosclerosis and are a component of metabolic syndrome. They are often elevated alongside insulin resistance. Consult your healthcare provider.
Creatinine
KidneyCreatinine is a waste product generated by normal muscle metabolism that is filtered out of the blood by the kidneys. It is widely regarded as the gold standard marker for evaluating kidney function, as consistent production makes it a reliable indicator of filtration efficiency.
Creatinine is central to assessing kidney health. It is used to calculate the estimated glomerular filtration rate (eGFR), which is the primary measure for staging chronic kidney disease. Early detection of rising creatinine levels can prompt timely intervention, helping to slow the progression of kidney damage. Monitoring creatinine is also important for adjusting medication dosages, as many drugs are cleared by the kidneys.
Free T4 (Thyroxine)
ThyroidFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Free T4 may help your healthcare provider determine whether your thyroid gland is producing adequate hormone levels. Some experts consider it one of the most informative markers for detecting both overactive and underactive thyroid conditions early.
LDL Cholesterol
CardiovascularLDL (Low-Density Lipoprotein) cholesterol is often called "bad" cholesterol because elevated levels can lead to plaque build-up in artery walls, increasing the risk of heart attack and stroke.
LDL cholesterol is a primary driver of atherosclerosis. Lowering elevated LDL is one of the most effective strategies for reducing cardiovascular disease risk. Consult your healthcare provider for personalised targets.
SHBG (Sex Hormone Binding Globulin)
HormonesSex hormone-binding globulin (SHBG) is a protein produced by the liver that binds to sex hormones, including testosterone and estrogen. It helps regulate the amount of free, active hormones available in the body.
SHBG levels may help explain symptoms related to hormone imbalances even when total hormone levels appear normal. Understanding SHBG can provide a more complete picture of hormonal health. Consult your healthcare provider to interpret results.
Total Cholesterol
CardiovascularTotal cholesterol measures the combined amount of HDL, LDL, and VLDL cholesterol in your blood. It provides an overview of your lipid status but should be interpreted alongside individual components for a complete cardiovascular risk picture.
Total cholesterol is a basic screening marker for cardiovascular risk. However, the breakdown into HDL, LDL, and triglycerides provides more actionable information. Consult your healthcare provider for interpretation.
Vitamin D (25-OH)
VitaminsVitamin D is a fat-soluble vitamin that plays a key role in calcium absorption, bone health, and immune function. It is primarily produced in the skin through sunlight exposure and can also be obtained from certain foods and supplements.
Adequate vitamin D levels are essential for strong bones, a well-functioning immune system, and overall well-being. Low levels may be associated with an increased risk of bone disorders, mood changes, and weakened immunity. Consult your healthcare provider for personalised advice.
Free Testosterone
HormonesFree testosterone is the unbound, bioavailable form of testosterone that can directly enter cells and activate receptors. It may indicate your body's functional androgen activity. Your healthcare provider can help interpret what your levels mean.
Free testosterone drives muscle development, energy levels, mood, and sexual function. Even when total testosterone appears normal, low free testosterone could suggest functional deficiency. Discussing your results with a healthcare provider may help identify whether further evaluation is warranted.
Total Testosterone
HormonesTotal testosterone measures the combined amount of bound and free testosterone in the blood. As the primary androgen, testosterone may influence muscle mass, bone density, libido, mood, and energy levels in both men and women.
Testosterone plays a fundamental role in many bodily functions for both sexes. Imbalances could potentially affect energy, mood, body composition, and reproductive health. Your healthcare provider can help evaluate your levels in the context of your overall health.
hs-CRP (High Sensitivity CRP)
InflammationHigh-Sensitivity CRP (hs-CRP) measures very low levels of C-Reactive Protein in the blood. It is primarily used to assess cardiovascular risk by detecting low-grade chronic inflammation.
Even mildly elevated hs-CRP may be associated with increased cardiovascular risk. It provides important information beyond traditional cholesterol testing for heart disease risk assessment. Consult your healthcare provider.
HDL Cholesterol
CardiovascularHDL (High-Density Lipoprotein) cholesterol is often called "good" cholesterol because it helps transport excess cholesterol from the arteries back to the liver for removal. Higher HDL levels are generally associated with lower cardiovascular risk.
HDL cholesterol is a key component of cardiovascular risk assessment. Low HDL may be associated with increased heart disease risk, while healthy levels support arterial protection. Consult your healthcare provider for personalised guidance.
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Thyroid Function
TSH, Free T4, and Free T3 for thyroid assessment.
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